| NPI | 1578595807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.021708) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801014151) |
| 1041S0200X Social Worker School (Licence: MI 6801014151) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-02-02 |