| NPI | 1780823674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801084025) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801084025) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2015-07-07 |