| NPI | 1194384347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801109300) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801101299) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2021-09-02 |