| NPI | 1538289889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801002128) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 68010028) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-09 |