| NPI | 1871224428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801119130) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6851115319) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-09-20 |