| NPI | 1992111066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011375) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801097058) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2018-08-02 |