| NPI | 1710253661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801094798) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802085901) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2014-06-17 |