NPI | 1245671312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115505) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: MI 6801115505) |
Enumeration Date | 2013-07-17 |
Last Update Date | 2025-03-03 |