| NPI | 1972773497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH EL32259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801087719) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2025-05-20 |