| NPI | 1750033098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116840) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 103759) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2023-09-25 |