| NPI | 1457437147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005553A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801071370) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-05-17 |