| NPI | 1235611062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106182) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 120932) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-02-19 |