| NPI | 1538619002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108593) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801100133) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2020-12-22 |