| NPI | 1316329964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801109307) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097999) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-08-05 |