| NPI | 1649622150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801099179) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 6801099179) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2020-12-11 |