| NPI | 1902613789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801080367) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076378) |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2024-12-17 |