| NPI | 1104514330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113168) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801119916) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2026-04-13 |