| NPI | 1992122477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6081104250) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2019-05-07 |