| NPI | 1629699459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801104849) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801110359) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2023-09-26 |