| NPI | 1508338864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108377) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801095541) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2020-11-04 |