| NPI | 1922566819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106478) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101811) |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2020-02-12 |