| NPI | 1487304358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115590) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851108217) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2023-07-31 |