| NPI | 1235195603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801006676) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301006676) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2009-06-01 |