| NPI | 1104347749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113985) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851101237) |
| 1041C0700X Social Worker, Clinical (Licence: MI 2215040100) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-02-02 |