| NPI | 1194463745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924405) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |