| NPI | 1245247691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10655) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801062269) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-07-23 |