| NPI | 1851785620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802074632) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802074632) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2022-03-21 |