| NPI | 1437861317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115611) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2014020838) |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |