| NPI | 1396019204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801092298) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI L1982560) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-12-05 |