| NPI | 1922597319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801112396) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801112396) |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2024-01-16 |