| NPI | 1215583158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115014) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001676) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2022-08-19 |