| NPI | 1821479601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801097676) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34007986A) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-08-22 |