| NPI | 1033270095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085545) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017893) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-06-22 |