| NPI | 1174907794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109042) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098628) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-05-17 |