| NPI | 1972923811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000999) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801096213) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2024-05-30 |