| NPI | 1285618462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7534-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801046706) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2017-01-06 |