| NPI | 1659609329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34009639A) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801109435) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2024-05-07 |