| NPI | 1568908275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9498-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102147) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2023-05-31 |