| NPI | 1831240324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801085075) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2019-10-15 |