| NPI | 1023207339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851119603) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401010391) |
| 104100000X Social Worker (Licence: MI 6802079682) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2025-06-11 |