| NPI | 1871089854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09927416) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801093868) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-09-01 |