| NPI | 1649608639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008457A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801095776) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2020-10-08 |