| NPI | 1003483215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117154) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851109796) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-10-31 |