| NPI | 1902322308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110694) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801104590) |
| 104100000X Social Worker (Licence: 6802088576) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2021-07-20 |