| NPI | 1932559879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801099701) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 86427) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2020-08-06 |