| NPI | 1992940340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801090696) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2024-03-18 |