| NPI | 1376962126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109159) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097335) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-09-01 |