| NPI | 1457888455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105922) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-10-15 |