| NPI | 1215432240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107683) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802089609) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2020-08-04 |