| NPI | 1174181432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116780) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851109844) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2023-09-06 |