| NPI | 1962694455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093905) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4009) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2022-05-31 |