| NPI | 1801209564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801114589) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-07-22 |