| NPI | 1063949279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6852093509) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-09-23 |