| NPI | 1659092294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851114323) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-03-09 |