| NPI | 1285682708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 5975) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801080915) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-02-04 |