| NPI | 1972912459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098061) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6803086601) |
| 247200000X Technician, Other | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2021-04-20 |