| NPI | 1801352463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119493) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851114961) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2024-12-11 |