| NPI | 1073104766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851115997) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802090629) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2023-03-21 |