| NPI | 1801042262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085709) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801085709) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: MI 3201008520) | |
| Enumeration Date | 2008-08-16 |
| Last Update Date | 2019-11-08 |