| NPI | 1629631510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801109258) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101223) |
| 1041C0700X Social Worker Clinical (Licence: MI 6801109258) | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-01-25 |