| NPI | 1497220818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118091) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2024-03-25 |