| NPI | 1659867539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801102534) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 113526) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2022-08-23 |