| NPI | 1457790115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2283) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095232) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2021-04-22 |