| NPI | 1104534874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116198) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102056) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2024-11-05 |