| NPI | 1770246746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119347) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851111154) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2024-11-14 |