| NPI | 1710294905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801077438) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 3574) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |