| NPI | 1134056914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851121834) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-05-06 |
| Last Update Date | 2026-06-09 |