| NPI | 1740356740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801117439) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 7222123) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-02-26 |