| NPI | 1902077282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096014) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 074559-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 73 077542) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2016-02-13 |