| NPI | 1053920801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801108584) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801096493) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2021-01-28 |