| NPI | 1205425014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113775) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008236A) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2024-02-27 |