| NPI | 1356365092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-12949) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801085606) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-06-08 |