| NPI | 1922536556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104642) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101143) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2019-06-03 |