| NPI | 1255884169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096551) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096651) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2025-03-06 |