| NPI | 1023129350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 0700065) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801078204) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-02-23 |