| NPI | 1124738182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114325) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6901114325) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |