| NPI | 1083166490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801115035) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802089197) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801104973) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2022-08-03 |