| NPI | 1194846915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801085624) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 1194846915) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-10-17 |