| NPI | 1689345720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119091) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851109673) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2024-10-02 |