| NPI | 1235678368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801117763) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6802089343) |
| 104100000X Social Worker (Licence: MI 6851110095) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2024-03-14 |