| NPI | 1700237526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108648) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101086) |
| 247200000X | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2021-01-06 |