| NPI | 1407346653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6852089808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802089808) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2021-10-27 |