| NPI | 1083088629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109239) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098901) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2021-04-14 |