| NPI | 1548608995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801018826) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801018826) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |