| NPI | 1487067211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108370) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 253321) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-07-21 |