| NPI | 1912402017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119078) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101970) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-12-11 |