| NPI | 1023404134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098592) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-09-22 |