| NPI | 1275881039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104121) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MI 6801094547) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2023-09-05 |