| NPI | 1790092112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14152) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801090619) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2017-04-19 |