| NPI | 1881234359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105216) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6851105216) | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2024-10-24 |