| NPI | 1629233952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801090278) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2019-10-15 |