| NPI | 1528629771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110609) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104524) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2021-07-30 |