| NPI | 1679014872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2023035721) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-09-11 |