| NPI | 1689241895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801106381) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-04-06 |