| NPI | 1952436214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106420) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34000157A) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-03-08 |