| NPI | 1235509852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107583) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 680110300) |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2023-03-03 |