| NPI | 1396516332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117404APP23) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2895) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |