| NPI | 1447797212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099965) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 130375) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2024-04-09 |