| NPI | 1194950345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092935) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802085946) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2017-12-27 |