| NPI | 1679222574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115043) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801107221) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6851107221) | |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2022-09-06 |