| NPI | 1124766126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118757) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851115092) |
| 247200000X Technician, Other | |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2024-07-17 |