| NPI | 1518211861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW66633) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801094950) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2018-03-17 |