| NPI | 1760585301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005800A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801084871) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-11-15 |