| NPI | 1932399169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801081889) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801081889) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2018-09-19 |