| NPI | 1083275903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118445) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2024-06-19 |