| NPI | 1770766438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK CSWS1179) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 1179) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801069253) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2021-05-10 |