| NPI | 1073096897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106414) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101615) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2022-01-25 |