| NPI | 1215955117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801087224) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-03-17 |