| NPI | 1548574163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801081192) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW5274) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |