| NPI | 1366540254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801081831) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MI 6801081831) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-03-15 |