| NPI | 1932563111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801090607) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801090607) |
| 1041S0200X Social Worker School (Licence: MI 6801090607) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |