| NPI | 1821608795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115639) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801106918) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2022-12-20 |