| NPI | 1194960302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11955) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801090156) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2015-09-09 |