| NPI | 1366071839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8833) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105415) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-05-17 |