| NPI | 1710338249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104656) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114810) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2020-08-26 |