| NPI | 1184805715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801089051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI L1108729) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2021-12-07 |