| NPI | 1962251926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117938) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851108103) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-08-21 |