| NPI | 1477826667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801066492) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4530) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2021-03-08 |