| NPI | 1972743631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801089898) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 908) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2016-01-11 |