| NPI | 1124662622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801115770) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801102467) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2023-02-08 |