| NPI | 1891843173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801019714) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6381002863) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-04-17 |