| NPI | 1720074842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085353) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801071084) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2021-08-23 |