| NPI | 1942220025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00944098) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801081540) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-08-22 |