| NPI | 1497299846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851107832) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801107832) |
| 104100000X Social Worker | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2022-04-04 |