| NPI | 1124913991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801115862) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801115862) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2026-01-19 |