| NPI | 1710350715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801064578) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-03-26 |