| NPI | 1881162246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82531) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 40577) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801071450) | |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2018-11-04 |