| NPI | 1053991786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801117679) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6851114159) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2024-03-21 |