| NPI | 1922031327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086647) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004736A) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |