| NPI | 1972968071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851118069) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: MI 66178) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2024-08-12 |