| NPI | 1992240352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106995) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 6801102191) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2020-06-01 |