| NPI | 1144730375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851104002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-750) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2021-08-16 |