| NPI | 1730312331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006397) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801068830) |
| 1041S0200X Social Worker School (Licence: NC 00006) | |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2009-08-29 |