| NPI | 1952036592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851117245) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2023-11-01 |