| NPI | 1134789902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851104699) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104699) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2021-08-04 |