| NPI | 1083448567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118672) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135822) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |