| NPI | 1548621550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801099111) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33008783A) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2018-11-20 |