| NPI | 1932373008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104569) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10119) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2021-12-02 |