| NPI | 1164935144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109725) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101988) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2021-05-25 |