| NPI | 1679191621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851119148) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2025-01-03 |