| NPI | 1861008955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117438) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801107297) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2024-09-23 |