| NPI | 1952852451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801106328) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2022-03-02 |