| NPI | 1972088169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117193) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149020863) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2026-04-16 |