| NPI | 1821504036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103429) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802088647) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2018-09-30 |