| NPI | 1215535117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851106976) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801106976) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6851106976) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2022-08-04 |