| NPI | 1487935532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801102810) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 19423) |
| 1041C0700X Social Worker, Clinical (Licence: MD 19423) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2023-10-24 |