| NPI | 1144568981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC18347) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094165) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080716) | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2020-01-17 |