| NPI | 1659903375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115083) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801105522) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2023-11-02 |