| NPI | 1780834838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 8920) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801013257) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |