| NPI | 1093199713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107854) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098321) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2022-01-03 |