| NPI | 1750511036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106691) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2028) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801090715) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2023-01-26 |