| NPI | 1497820591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090753) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005649A) |
| 1041C0700X Social Worker, Clinical (Licence: TN 4787) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2014-01-16 |