| NPI | 1699417402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116829) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851109663) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2023-09-22 |