| NPI | 1124416979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801094044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094044) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2023-11-15 |