| NPI | 1730664103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014417) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801099986) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2022-07-11 |