| NPI | 1891931895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 10176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801090552) |
| Enumeration Date | 2008-12-21 |
| Last Update Date | 2023-11-01 |