| NPI | 1497901268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI L1306245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801089261) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2021-03-16 |