| NPI | 1417234246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092311) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149011814) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2015-05-11 |