| NPI | 1174952576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801090769) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2017-01-19 |