| NPI | 1952649345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6901099035) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 128698-121) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2024-03-20 |