| NPI | 1396075701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801033984) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 884895160) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |