| NPI | 1043730153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096761) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4360) |
| 1041C0700X Social Worker, Clinical (Licence: NM C-09896) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-08-22 |