| NPI | 1134668080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109114) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041S0200X Social Worker, School (Licence: MI 6801109114) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-03-02 |