| NPI | 1366650954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801066406) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2016-09-30 |