| NPI | 1528441151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098050) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801108484) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2022-03-17 |