| NPI | 1548652951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801100717) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2019-10-30 |