| NPI | 1972273746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801113476) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C016262) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2023-11-03 |