| NPI | 1023345980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120080) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801089430) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2019-07-19 |