| NPI | 1194956656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091120) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6801091120) |
| 104100000X Social Worker (Licence: MI 6801091120) | |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2024-11-20 |