| NPI | 1427109792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801084855) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2023-08-18 |