| NPI | 1912541053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115448) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105213) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2023-11-20 |