| NPI | 1588812903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090071) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 1467600882) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2023-03-24 |