| NPI | 1316342199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094579) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2020-06-03 |