| NPI | 1558814442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801100069) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2022-01-27 |