| NPI | 1801239769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801113964) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851097949) |
| 104100000X Social Worker (Licence: MI 6801097949) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2022-01-25 |