| NPI | 1326279662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091122) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI L1560475) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2023-08-08 |