| NPI | 1275058521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104146) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-05-01 |