| NPI | 1558038836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11672) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801118240) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-05-13 |