| NPI | 1225218571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085617) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801085617) |
| 1041C0700X Social Worker, Clinical (Licence: TN 5086) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080396) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.018565) | |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2017-02-28 |