| NPI | 1548276421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801084866) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9518) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-09-26 |