| NPI | 1588131171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 118813383504) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802090222) |
| 1041S0200X Social Worker, School (Licence: UT 11881338-3502) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2024-09-06 |