| NPI | 1508465402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019030047) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105068) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |