| NPI | 1932256351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76817) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801088011) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2024-05-16 |