| NPI | 1669910139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801099049) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801099049) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2018-05-01 |