| NPI | 1043628852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085587) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2102542-SUPV) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2026-03-09 |