| NPI | 1861826513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010119) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801113510) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2022-01-03 |