| NPI | 1952771339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801060816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009137) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2018-03-17 |