| NPI | 1154899185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801117122) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 093039) |
| 1041C0700X Social Worker Clinical (Licence: OH I.2405506) | |
| 104100000X Social Worker (Licence: NY 105334) | |
| 1041C0700X Social Worker Clinical (Licence: FL SW21033) | |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC06178700) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2024-10-25 |