| NPI | 1770975260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: MI 6801066674) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801066674) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2016-09-10 |