| NPI | 1548523541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091675) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7896-123) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2014-01-09 |