| NPI | 1750715231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097972) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802087134) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2018-03-06 |