| NPI | 1942892708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851108917) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 68011108917) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-08-07 |