| NPI | 1518378645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008864) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104621) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2020-06-11 |