| NPI | 1710014964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 0722241) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801018469) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |