| NPI | 1073750774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7487) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095312) |
| 104100000X Social Worker (Licence: WI 7487123) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2023-05-10 |