| NPI | 1235897851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851114549) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6852091330) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2022-05-11 |