| NPI | 1962816082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090371) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802089083) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2016-11-03 |