| NPI | 1699812206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801077150) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE 0000227) |
| 1041C0700X Social Worker, Clinical (Licence: GA csw001398) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |