| NPI | 1629657358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 104233) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801108341) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |