| NPI | 1104286038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098854) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 13123) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2019-06-20 |