| NPI | 1831630987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801012820) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCSW72134) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2022-01-24 |