| NPI | 1750481289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801058347) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 659832) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2013-11-13 |