| NPI | 1568905842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104054) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801099498) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2019-03-28 |