| NPI | 1942516810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117884) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 2029C) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06406600) | |
| Enumeration Date | 2010-08-29 |
| Last Update Date | 2024-12-16 |