| NPI | 1851636302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74358) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094924) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2021-09-27 |