| NPI | 1174135610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801108927) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801103709) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2021-02-01 |