| NPI | 1053898460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117624) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MI 6801117624) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2026-08-19 |