| NPI | 1649718826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020027123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098430) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2021-12-21 |