| NPI | 1902204852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097355) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2012009438) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |