| NPI | 1710617311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851114834) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 6851114834) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-02-28 |