| NPI | 1346365111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801015830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60401789) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-11-22 |