| NPI | 1629638895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851107140) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802090406) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801107140) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2021-07-20 |