| NPI | 1063061448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109041) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098781) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2022-03-24 |