| NPI | 1285650887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801015316) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-10-06 |