| NPI | 1518389147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801092682) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801092682) |
| 104100000X Social Worker (Licence: MP 6801092682) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801092682) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2023-04-25 |