| NPI | 1164809992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801092572) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2020-02-19 |