| NPI | 1609352780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116082) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101839) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2023-09-27 |