| NPI | 1043759186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 165895) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104144) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801100694) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2023-02-06 |