| NPI | 1982104022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106520) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102079) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2024-11-21 |