| NPI | 1790063394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09927960) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801066688) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2023-01-19 |