| NPI | 1932760352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110743) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105055) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2021-07-28 |