| NPI | 1407111305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 12527) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801080710) |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2016-01-14 |