| NPI | 1295291714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109553) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101569) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801101569) | |
| 104100000X Social Worker (Licence: MI 6801109553) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2023-11-09 |