| NPI | 1942554951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106433) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801093059) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2022-07-22 |