| NPI | 1063664118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801089889) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 68010898889) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2021-11-08 |