| NPI | 1306374624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105165) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101168) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-04-17 |