| NPI | 1609426600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115027) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104740) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2022-09-13 |