| NPI | 1457594111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801089274) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703048752) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |