| NPI | 1801102892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801077204) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 678) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |