| NPI | 1972619427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801057784) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6081057784) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-10-26 |