| NPI | 1225783269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200002572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801116904) |
| 1041C0700X Social Worker, Clinical (Licence: MD 30887) | |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2023-11-14 |