| NPI | 1003171315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801094599) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094599) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2025-11-13 |