| NPI | 1871129965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014455) |
| 1041C0700X Social Worker, Clinical (Licence: SC 14953) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801104382) | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2024-08-01 |