| NPI | 1437657392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801102141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801107690) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2023-02-24 |