| NPI | 1245501790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801065969) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2012-01-14 |
| Last Update Date | 2012-01-14 |