| NPI | 1255722088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097243) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149015759) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |