| NPI | 1457876708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108829) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101515) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-21 |