| NPI | 1629170055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2327C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 1340-C) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801115157) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-11-08 |