| NPI | 1629550223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108845) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2022-05-25 |