| NPI | 1275609695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802070357) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI L899444) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-06-12 |