| NPI | 1336566512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851099112) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802087343) |
| 104100000X Social Worker (Licence: MI 6801099112) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-11-17 |