| NPI | 1982913398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007345) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801089446) |
| Enumeration Date | 2010-10-03 |
| Last Update Date | 2018-10-12 |