| NPI | 1184144362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28458) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101183) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801105919) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-06-09 |