| NPI | 1104335637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851104265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104265) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2021-12-29 |