| NPI | 1679075949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801108706) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802089857) |
| 1041C0700X Social Worker Clinical (Licence: MI 6801103607) | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2021-04-08 |