| NPI | 1003239963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801087916) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801087916) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801087916) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2022-10-07 |