| NPI | 1821736224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119018) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851114596) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-08-31 |