| NPI | 1336641562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107471) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102196) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2024-06-04 |