| NPI | 1982976908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095489) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085541) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2019-07-12 |