| NPI | 1215180401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086631) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802081108) |
| 104100000X Social Worker (Licence: MI 6803074613) | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |