| NPI | 1740702042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108637) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801099120) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2023-05-15 |