| NPI | 1417398579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096198) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009408) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2019-07-03 |