| NPI | 1679011498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114708) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098734) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2024-05-29 |