| NPI | 1558816504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801107692) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801107692) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2023-04-21 |