| NPI | 1114457868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801114479) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-05-25 |