| NPI | 1316347289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079899) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2019-01-07 |