| NPI | 1255582151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086156) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 1808086156) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2024-05-28 |