| NPI | 1730440306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801104996) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802086821) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2019-07-19 |