| NPI | 1821622960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115013) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104271) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2022-08-10 |