| NPI | 1538442033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18299) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091648) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2013-08-09 |