| NPI | 1467971143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105861) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101960) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2019-10-22 |