| NPI | 1902472947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851099005) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-11-17 |