| NPI | 1417339201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801099441) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2018-12-15 |