| NPI | 1922630086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112080) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801097417) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2021-12-09 |