| NPI | 1073957387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801111300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802086861) |
| 1041C0700X Social Worker Clinical (Licence: MI 6801100354) | |
| 1041C0700X Social Worker Clinical (Licence: IN 34008416A) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2022-12-21 |