| NPI | 1740619287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106193) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW024223) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2025-01-07 |