| NPI | 1285928010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104174) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802086561) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2024-08-23 |