| NPI | 1952902199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6851108011) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801108011) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2022-04-26 |