| NPI | 1578271938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801014804) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 63610003166) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |