| NPI | 1922619063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115755) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801107451) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6851107451) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-05-15 |