| NPI | 1760920912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801109474) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098892) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801109474) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2022-12-15 |