| NPI | 1649568718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851092519) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801092519) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2024-09-20 |