| NPI | 1447796958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095461) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801095461) |
| 405300000X Prevention Professional (Licence: MI 6801095461) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-12-16 |