| NPI | 1891293064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102169) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2020-04-22 |