| NPI | 1346892379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801104667) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-11-10 |