| NPI | 1770082869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108449) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101614) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2023-06-30 |