| NPI | 1326436718 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008280A) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801096229) | 
| Enumeration Date | 2015-01-07 | 
| Last Update Date | 2018-10-24 |