| NPI | 1316578966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801107862) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801102399) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2024-04-18 |