| NPI | 1356707855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013951) |
| 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-1012) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801096796) | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2024-02-20 |