| NPI | 1891104667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097782) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802088271) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2021-03-03 |