| NPI | 1992940308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 3163) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801083747) |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2011-12-03 |