| NPI | 1821406315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801096727) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: 6801096727) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2019-02-18 |