| NPI | 1114578291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851110551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802090628) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-02-21 |