| NPI | 1659671105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801091576) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2019-12-18 |