| NPI | 1366997629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012708) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105782) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-09-03 |