| NPI | 1265758890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801091979) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW5925) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-13 |