| NPI | 1871625350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088594) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6801088594) |
| 104100000X Social Worker (Licence: MI 6801088594) | |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2011-04-26 |