| NPI | 1912445768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801104187) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104187) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801100131) | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2023-11-27 |