| NPI | 1851945133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114397) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851104977) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2022-12-13 |