| NPI | 1205199239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116623) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802086387) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-10-04 |