| NPI | 1558758102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115485) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851107824) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2024-01-15 |