| NPI | 1093367823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113741) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801105184) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2022-03-01 |