| NPI | 1316342223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802088374) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2016-05-27 |