| NPI | 1225017064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7483-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801083650) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2010-04-05 |