| NPI | 1871794917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004849) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC302977) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 10601) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904010540) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-09-20 |