| NPI | 1194377564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801111378) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801105234) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2021-10-14 |