| NPI | 1750809315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801106126) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101610) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |