| NPI | 1629737432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851114146APP21) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6851114146) | |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2024-05-02 |