| NPI | 1871795609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801060068) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2017-04-18 |