| NPI | 1972658912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801062777) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 24666) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-03-18 |