| NPI | 1407258452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801096790) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 382833497) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2023-05-22 |