| NPI | 1114224862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092052) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 1805826) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2022-07-29 |