| NPI | 1598157034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096524) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096524) |
| 104100000X Social Worker (Licence: LA 12527) | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2018-08-13 |