| NPI | 1275922718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 4664155) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06035600) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2019-01-17 |