| NPI | 1114721032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851116430) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2607852) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2026-07-20 |