| NPI | 1487036059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109975) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801098205) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2021-06-04 |