| NPI | 1437839453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801105828) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-20409) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |