| NPI | 1063012359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851108027) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2023-02-06 |