| NPI | 1144232224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088397) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801088397) |
| 251E00000X Home Health (Licence: MI 6801088398) | |
| 251S00000X (Licence: MI 6801088398) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-03-23 |