| NPI | 1043023575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851118223) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201011035) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |