| NPI | 1194137893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801096731) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-03-15 |