| NPI | 1578820643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801089977) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MI 6801089977) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 6801089977) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |