| NPI | 1619427721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108669) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097755) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2021-04-22 |