| NPI | 1043717911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6851115868) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802089863) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-07-12 |