| NPI | 1598400343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801085333) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-10 |