| NPI | 1184247058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801115918) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2023-03-11 |