| NPI | 1316356991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008612A) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801106169) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2020-12-01 |