| NPI | 1538366497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9923128) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801089208) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2013-09-13 |