| NPI | 1497126460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097667) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2022-10-28 |