| NPI | 1588219166 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115390) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105355) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2022-12-27 |