| NPI | 1346902368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851111315) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC p018889) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2023-04-17 |