| NPI | 1366066300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801114907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801114907) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801106945) | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2023-12-13 |