| NPI | 1609374073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110258) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104340) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2021-06-23 |