| NPI | 1497197362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094861) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2014-11-03 |