| NPI | 1447739594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801102908) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MI 6801102908) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2023-11-09 |