| NPI | 1154742146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801093988) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: MI L2473818) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2022-08-08 |