| NPI | 1801081922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095967) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW28357) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2020-06-11 |