| NPI | 1952003014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105974) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-05-23 |