| NPI | 1417573841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116666) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851106909) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-11-16 |