| NPI | 1801490727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117314) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801107394) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-12-07 |