| NPI | 1578172540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801078790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09929890) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2024-01-04 |