| NPI | 1851027650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801084970) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-06-21 |