| NPI | 1477545747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801013446) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-06-10 |