| NPI | 1700234416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099438) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019568) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW19941) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 33839) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2025-12-03 |