| NPI | 1285604710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2005025567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801067626) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |