| NPI | 1215175567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015936) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801085405) |
| Enumeration Date | 2009-01-24 |
| Last Update Date | 2009-01-24 |