| NPI | 1992972053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6802084353) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801092003) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-05-19 |