| NPI | 1457858490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109359) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102187) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2021-05-06 |