| NPI | 1477052579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9652-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102121) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2023-02-10 |