| NPI | 1114218476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60305822) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1000372) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801092842) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2012-12-20 |