| NPI | 1922533660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801102097) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089571-1) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2018-02-27 |