| NPI | 1992055974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801094537) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2014-12-02 |