| NPI | 1457861353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098366) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 680109836) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2020-12-18 |