| NPI | 1174962724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095628) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-08-12 |