| NPI | 1073098919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102587) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-06-01 |