| NPI | 1730648924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801103933) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2021-03-17 |