| NPI | 1154873784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091495) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME lc3500) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |