| NPI | 1366074072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801104810) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2023-04-20 |