| NPI | 1457864613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100789) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 123462) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW004489) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 5767) | |
| 1041C0700X Social Worker, Clinical (Licence: AR 22493-C) | |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2025-10-28 |