| NPI | 1366776056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110142) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15343) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW10650) | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2022-01-26 |