| NPI | 1518483189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101391) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2021-05-14 |