| NPI | 1235419813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801071267) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2022-08-25 |