| NPI | 1285996850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100561) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW12942) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2018-05-12 |