| NPI | 1518478932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116603) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801109455) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-06-07 |