| NPI | 1619203569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008356) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801092220) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2013-09-09 |