| NPI | 1417142118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091660) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MI 6801091660) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2018-05-08 |