| NPI | 1366033433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801115851) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801108923) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-04-17 |