| NPI | 1629199823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW4843) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI L993235) |
| 1041C0700X Social Worker, Clinical (Licence: TN CSW7275) | |
| 104100000X Social Worker (Licence: MI 6801019179) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-09-20 |