| NPI | 1316650864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MI 2902012424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801114358) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-05-15 |