| NPI | 1770079964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801106362) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801100971) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2020-11-20 |