| NPI | 1295435238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 6852093498) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6852093498) |
| 104100000X Social Worker (Licence: MI 6852093498) | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |