| NPI | 1922741644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017030) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW23147) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801119403) | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-11-22 |