| NPI | 1427667260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801107849) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094783) |
| 104100000X Social Worker | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-08-04 |