| NPI | 1477747129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088888) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801088888) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2019-06-15 |