| NPI | 1932816139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851114622) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851114622) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-09-11 |