| NPI | 1356617203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI L1669881) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2019-05-07 |