| NPI | 1699366724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851116676) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-06-01 |