| NPI | 1407555808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2106725) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34009363A) | |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |