| NPI | 1144569682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6852089913) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801093419) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2023-09-15 |