| NPI | 1285061259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704084246) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2021-02-01 |