| NPI | 1386240968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117955) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801107169) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2024-03-18 |