| NPI | 1023164308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801084742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704241766) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-11-23 |