| NPI | 1023191996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801064249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1995C) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-03-18 |