| NPI | 1366584823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15517) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801078413) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-07-10 |