| NPI | 1851972640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115563) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801107947) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2022-12-05 |