| NPI | 1518239987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801091858) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091858) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2018-09-19 |