| NPI | 1205598851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119152) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851112898) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2025-01-08 |