| NPI | 1992725311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004836) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-09-28 |