| NPI | 1902157977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009697) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008204) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801094333) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2023-10-10 |