| NPI | 1295986958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085781) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016105) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2016-09-30 |