| NPI | 1609375724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099785) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801099785) |
| 1041S0200X Social Worker, School (Licence: MI 6801099785) | |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2018-02-04 |