| NPI | 1063898658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103939) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098525) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2019-05-15 |