| NPI | 1629597620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105449) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801100241) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2020-08-05 |