| NPI | 1689963993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801091661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091661) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2022-06-23 |