| NPI | 1801475140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851108346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801108346) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-07-21 |