| NPI | 1487163879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118576) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101884) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-06-27 |