| NPI | 1396416947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851109189) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2023-08-04 |