| NPI | 1063966331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115031) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801100121) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2022-10-11 |