| NPI | 1407204100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107774) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9625) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801099512) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2021-07-28 |