| NPI | 1811606288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851114998) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 1447981477) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-05-08 |