| NPI | 1497704449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801080235) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW11592) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-08-08 |