| NPI | 1679304539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851092866) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO SWC.0000002187) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-10-30 |