| NPI | 1881049245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099221) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008642A) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-06-04 |