| NPI | 1164015731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801108964) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW61148134) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2024-02-12 |