| NPI | 1801296819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091008) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2016-10-29 |