| NPI | 1922356690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093904) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 10319) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2013-12-02 |