| NPI | 1992132658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851098468) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802087876) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2021-10-13 |