| NPI | 1497399513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851115271) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P018294) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2024-02-07 |