| NPI | 1013263706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093309) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 376013) |
| 104100000X Social Worker (Licence: MI 6801093309) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2015-04-09 |