| NPI | 1720355944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801088041) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MI 6801088041) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801088041) | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2017-08-01 |