| NPI | 1235380791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088485) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006175) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2020-09-15 |