| NPI | 1588350045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116365) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 107038) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6851111174) | |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-07-06 |