| NPI | 1710428719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802083728) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703104164) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2023-07-18 |