| NPI | 1841682168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 247200000X Technician, Other (Licence: MI c255730594346) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2019-04-25 |