| NPI | 1316334790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801097834) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097834) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2018-12-28 |