| NPI | 1235991282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801117334) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I.2405394) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-09-17 |