| NPI | 1780093377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801102256) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.016076) |
| 1041C0700X Social Worker Clinical (Licence: CO CSW.09923580) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2018-09-17 |