| NPI | 1982290565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115172) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801106800) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2022-11-23 |