| NPI | 1265777031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101569) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 09004014383) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801086551) | |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2023-01-24 |