| NPI | 1770011207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801100967) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851100967) |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2021-08-03 |