| NPI | 1174294607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109197) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34009122A) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |