| NPI | 1972241396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09928325) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801114750) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-09-20 |