| NPI | 1689858920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801088890) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801088890) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2014-06-19 |