| NPI | 1063610814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801076875) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801076875) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2012-02-23 |