| NPI | 1770113474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801107973) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102792) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2022-02-02 |