| NPI | 1104468123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105056) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851105056) |
| 104100000X Social Worker (Licence: MI 6851105056) | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2024-07-12 |