| NPI | 1316598329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801103547) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2021-11-22 |