| NPI | 1548652159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097294) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2023-09-28 |