| NPI | 1235797846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110729) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104370) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2022-05-26 |