| NPI | 1750931473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801096749) |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2024-10-11 |