| NPI | 1588224570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116409) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801104356) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801104356) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-05-28 |