| NPI | 1184275406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9129-123) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2024-05-29 |