| NPI | 1023405032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801108181) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801099725) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801108181) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2021-07-09 |