| NPI | 1023553385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: MI Z5H7G8R8) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2024-06-20 |