| NPI | 1376993824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099475) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801099475) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2019-10-16 |