| NPI | 1841757499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110243) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801103312) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2021-07-07 |