| NPI | 1871171264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81725) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801093148) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-05-26 |