| NPI | 1043359144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086326) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61226393) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-01-10 |