| NPI | 1578659538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801091667) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 076939) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-03-30 |