| NPI | 1720208374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801079960) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 680109940) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-08-08 |