| NPI | 1679918577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: MI 6801078694) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801078694) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2022-02-03 |