| NPI | 1811437320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105543) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2019-10-10 |