| NPI | 1366848350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801101077) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802088256) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2019-05-07 |