| NPI | 1891232435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 680110488) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 072278) |
| 104100000X Social Worker (Licence: MI 6801099903) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2019-06-28 |