| NPI | 1841703022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107983) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101691) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2020-09-22 |