| NPI | 1689731739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095124) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069760-1) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2013-07-09 |