| NPI | 1912312745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801096736) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2024-11-18 |