| NPI | 1649660333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801087422) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 801087422) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2023-04-05 |