| NPI | 1235841065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851119159) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MI 5303024432) |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2025-02-18 |