| NPI | 1548822331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851103266) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801103266) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2024-04-25 |