| NPI | 1043685670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 22945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095391) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2025-04-22 |