| NPI | 1235646050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107460) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 6801100951) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-02-26 |