| NPI | 1407312895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801113630) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2021-12-01 |