| NPI | 1972909232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122128) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI L427917) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2021-05-06 |