| NPI | 1992733182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097646) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 2273) |
| 1041C0700X Social Worker, Clinical (Licence: IA 2273) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-09-11 |