| NPI | 1942312988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802081599) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801090846) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-10-16 |