| NPI | 1669817037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851110440) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802085402) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2024-04-22 |