| NPI | 1275906091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801100367) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 21831) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2023-03-20 |