| NPI | 1922237403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801081638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801081638) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2023-08-16 |