| NPI | 1821394990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014786) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2023-11-07 |