| NPI | 1447799135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18261) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801100551) |
| 104100000X Social Worker (Licence: MI 6801104102) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-01-13 |