| NPI | 1871900357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801118710) |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2024-09-04 |