| NPI | 1508305996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801117233) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2024-01-18 |