| NPI | 1922421635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801096249) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2023-05-11 |