| NPI | 1184643280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000672A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801074751) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-02-17 |