| NPI | 1770232852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118039) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851114151) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2024-05-20 |