| NPI | 1124110648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801084655) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00944831) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2025-01-27 |