| NPI | 1225072572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801081714) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW005491) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2015-11-17 |