| NPI | 1689026379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104957) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098966) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2024-04-17 |