| NPI | 1467881722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099032) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089041) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2016-04-05 |