| NPI | 1699172098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095092) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 680109509) |
| 247200000X Technician, Other | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2022-01-31 |