| NPI | 1861092280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150103411) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-02-19 |