| NPI | 1104366996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096255) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096255) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2022-11-28 |