| NPI | 1205960218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 4902) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801085309) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-04-07 |