| NPI | 1649506783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097529) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1083) |
| Enumeration Date | 2009-10-25 |
| Last Update Date | 2020-11-07 |