| NPI | 1225581671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801102395) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085347-1) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2023-03-29 |