| NPI | 1568605046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 091773) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005597A) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2010-07-25 |