| NPI | 1841814696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801115464) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801107087) |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2022-12-02 |