| NPI | 1518487966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801109381) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102630) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801109381) | |
| 247200000X | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-08-16 |