| NPI | 1942434766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 680108867) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 20719) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2013-12-10 |