| NPI | 1497488050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 30092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801114062) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2024-10-12 |