| NPI | 1609051648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801089744) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16851) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2011-12-08 |