| NPI | 1740861897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801066805) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6901066805) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2022-12-27 |