| NPI | 1396080941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801094631) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 7881-C) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2023-05-19 |