| NPI | 1316169600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 20214) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-12-09 |