| NPI | 1114553690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801103297) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2024-11-01 |