| NPI | 1447429865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088832) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004985A) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2012-01-12 |