| NPI | 1972028934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6802089650) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: MI 6802089650) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |