| NPI | 1376790097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 076852) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801115998) |
| 1041C0700X Social Worker Clinical (Licence: IL 149.022840) | |
| 1041C0700X Social Worker Clinical (Licence: MI 6801115998) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2024-05-02 |