| NPI | 1588136865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102435) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2024-04-23 |