| NPI | 1487055489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801105967) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MI 6801105967) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801105967) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2022-06-07 |