| NPI | 1356491617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801081669) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MI 6801081669) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-12-30 |