| NPI | 1396206736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851105382) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802090242) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801105382) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-01-11 |