| NPI | 1396271821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091737) |
| 104100000X Social Worker (Licence: MI 6801091737) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-08-21 |