| NPI | 1427402213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118888) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61017745) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2025-02-24 |