| NPI | 1457631962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006995A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801089337) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2018-09-20 |