| NPI | 1780241869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109514) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801104450) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2024-04-12 |