| NPI | 1952906182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801108582) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: 6801102857) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-18 |