| NPI | 1649530205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086676) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5375-C) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |