| NPI | 1588747752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007064) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801078806) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2009-10-01 |