| NPI | 1376934596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20777) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095443) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2018-12-13 |