| NPI | 1447760418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61458564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802088810) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2024-04-23 |