| NPI | 1124218391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801089455) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34006003A) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2010-10-15 |