| NPI | 1851305171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012001) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801067665) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-28 |