| NPI | 1669612842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW18864) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801086724) |
| 1041C0700X Social Worker, Clinical (Licence: PA SW130413) | |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2022-06-08 |