| NPI | 1396196382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851107069) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851107069) |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2021-11-30 |