| NPI | 1700458940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117256) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801109486) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2023-10-30 |