| NPI | 1972349645 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851118013) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 7269) | 
| 1041S0200X Social Worker, School (Licence: CT 3859997749) | |
| Enumeration Date | 2024-07-02 | 
| Last Update Date | 2024-07-13 |