| NPI | 1184094633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099578) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2016-07-25 |