| NPI | 1972094936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099643) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2023-08-22 |