| NPI | 1225436819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108760) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI L258837) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2021-09-09 |