| NPI | 1760862023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086344) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MI 6801086344) |
| 104100000X Social Worker | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-07-09 |