| NPI | 1629395280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801069732) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801069732) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2019-03-13 |