| NPI | 1831748474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801114682) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MI 18-095) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2023-09-18 |