| NPI | 1194283200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102636) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2023-01-09 |