| NPI | 1053530956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13157) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2013-12-12 |