| NPI | 1467861815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93282) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097960) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2020-02-08 |