| NPI | 1073961025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801115768) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2024-03-11 |