| NPI | 1114528635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801115571) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2023-04-18 |