| NPI | 1730565243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100042) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1203) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2017-03-28 |