| NPI | 1891199006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801085861) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-08-15 |