| NPI | 1740604438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801115587) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096091) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2024-05-12 |